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APPLICATION KIT
for FISCAL YEARS 2022 & 2023
SMALL AMBULATORY PROGRAM
for
AMERICAN INDIANS AND ALASKA NATIVES Indian Health Service
Department of Health and Human ServicesFISCAL YEARS 2022 & 2023
SMALL
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What is 1 form small ambulatory?
1 Form Small Ambulatory refers to a specific form designed for small medical facilities, particularly those providing outpatient services, to report relevant operational and financial information.
Who is required to file 1 form small ambulatory?
Small ambulatory care facilities, such as small clinics and outpatient centers that meet certain criteria, are required to file the 1 Form Small Ambulatory.
How to fill out 1 form small ambulatory?
To fill out the 1 Form Small Ambulatory, facilities must provide detailed information regarding patient services, financial data, and operational metrics, ensuring all sections are completed accurately according to the guidelines provided.
What is the purpose of 1 form small ambulatory?
The purpose of the 1 Form Small Ambulatory is to collect standardized data from small ambulatory care facilities, which can be used for regulatory compliance, healthcare planning, and assessing community health needs.
What information must be reported on 1 form small ambulatory?
Information that must be reported includes the facility’s patient care services, financial performance, staffing levels, patient demographics, and outcomes of care.
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